Individual
LENA SILAVANH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2316 WALKER BUILDING, AUBURN UNIVERSITY, AL 36849-0001
(941) 993-2639
Mailing address
11120 BENNETT DR UNIT 47, BRADENTON, FL 34211-1141
(941) 993-2639
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS63508
FL
Other
Enumeration date
01/17/2019
Last updated
02/05/2024
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